VOLUNTEER PROJECT APPLICATION FORM

We are delighted that you are interested in becoming a volunteer for PAPYRUSon our YOUNG PEOPLE`S CHAMPIONS FORUM Please complete this form then send it to

We are grateful to all of our volunteers who help us to save young lives

ROLE: Community Champion

YOUR CONTACT DETAILS:

Name:

Address:Home Phone:

Mobile:

Town/City:Email:

County:

Post Code:DOB:

PAPYRUS will treat any information given here as confidential and will never use it for marketing purposes.
We will store it and use it only to be able to contact our supporters and share information with supporters about the charity.

ABOUT YOU

How did you hear about PAPYRUS and the project and do you have a connection with our cause?

As part of the project you will be expected and supported in delivering 2 suicide prevention activities within your community between November 2014- October 2015. Please insert any ideas you have at this stage below.

Are there any health conditions that we should know about so that we can help you in your role?

YOU’RE AVAILABILITY

Mondays Tuesdays WednesdaysThursdays Fridays Weekends

DAY VOLUNTEER INFORMATION

In addition to Project Volunteers we often need ‘Office Day Volunteers’ to work with the PAPYRUS teamat our Birmingham office on an ad-hoc basis and help us to save young lives.As a day volunteer there are a variety of tasks we may ask for your help with such as a specific mail out, administration or with managing stock. If you are interested in becoming a day volunteer at the office please note your availability below:

One off - around 4 hours per year

Around 4 hours a month

More than 4 hours per month

REFERENCES

Please list two referees which are relevant to your role (This must not be a family member. Ideally this should be someone who knows you in professional capacity). We prefer to contact referees by email initially and may follow up by telephone before continuing the application process.

Reference #1 detail:

Name:

Relationship:

Address:Home Phone:

Mobile:

Town/City:Email:

County:

Post Code:

Reference #2 details:

Name:

Relationship:

Address:Home Phone:

Mobile:

Town/City:Email:

County:

Post Code:

Applicant - Please certify that:

I will participate in any training/orientation required by PAPYRUS. I will abide by and uphold any PAPYRUS policies. There is nothing in my background that would disqualify me from a position of responsibility with PAPYRUS as a charity that works closely with children, young people, and vulnerable adults. I agree to a Disclosure and Barring check where appropriate (PAPYRUS will cover the cost of this). I consent to the personal data in this Application Form being used by PAPYRUS to process this application. All the information on this application is correct and accurate.

Applicant Signature:...... Date:

Thank you for your interest and application. Please send the completed form to the contact person listed on the role profile. They will be in touch with you soon.

If in doubt email: or write to PAPYRUS – Prevention of Young Suicide, 67 Bewsey Street, Warrington, Cheshire, WA2 7JQ